OrganizationActive
Advanced Urology of New Mexico LLC
NPI 1558667873 · Urology Physician · Los Alamos, NM
Provider details
- NPI number
- 1558667873
- Entity type
- Organization
- Primary specialty
- Urology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Pavel Mourachov, Owner(505) 661-8500
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(82/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
3917 West Rd
Suite 137
Los Alamos, NM 87544-2275
Phone: (505) 661-8500
Fax: (505) 661-0096
Street-level locationGet directions
Mailing address
3917 West Rd
Los Alamos, NM 87544-2275
Registry dates
- Enumerated
- 2011-02-03
- Last updated
- 2011-02-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.